The recent cold weather, facial paralysis patients more up, facial paralysis, also known as facial nerve paralysis, Chinese medicine known as “crooked mouth and eyes”, manifested as the patient’s facial muscle dyskinesia, suddenly appeared crooked mouth and eyes. Its etiology is mainly due to the local nutrient nerves of the blood vessels by cold and spasm, resulting in the nerve tissue ischemia, edema, pressure and the emergence of acute non-suppurative facial neuritis in the stems of the mastoid foramen, or the facial nerve by viral infections and inflammation, edema. In addition, rheumatic facial neuritis, osteochondritis dissecans, parotitis, etc. can also cause facial nerve paralysis. The onset of facial paralysis is rapid, the patient wakes up to find one side of the face stagnant, numbness, flaccid, can not close the eyes, frown, frowning, teeth, drum cheeks or whistling, the corner of the mouth to the healthy side of the skewed, the eye cracks widen, dewy eyes and tears, the forehead lines disappeared, nasolabial folds are flat, such as the inflammation of the facial neural tube, in addition to the skewed mouth and eyes, but also to see the loss of the tongue in the anterior two thirds of the sense of taste, salivary glands secretion dysfunction, auditory allergy, etc., known as the Bell’s Bell’s palsy. If the inflammation involves the geniculate ganglion and the superficial nerve, hearing impairment, loss of lacrimal gland secretion, pain in the auricle and mastoid, herpes in the auricle and external auditory canal can also be seen, which is called Hunt’s facial paralysis. Acupuncture is satisfactory for facial paralysis, low cost, no side effects, can be the first choice of treatment, to be treated as early as possible, it is best to start acupuncture as soon as the onset of the disease, most of them can be cured after two or three courses of treatment. Most of the patients can be cured after two or three sessions, while those who start acupuncture only in the recovery period will have a longer course of treatment, and some of the patients will have a poor outcome, and a few of them will also have after-effects. Some patients feel like facial paralysis such as acute disease to find Chinese medicine acupuncture doctors do not feel at ease, in fact, nowadays the acupuncture doctors in big hospitals are systematic medical education, familiar with modern medicine, anatomy, physiology, pathology and pharmacology and other theories, in the acute stage of facial paralysis will be combined with some anti-inflammatory, antiviral, vasodilating and nutritive nerve treatment of western and Chinese medicines, and some of these medicines can be received by acupoint injections with twice the effect with half the effort. Some western doctors also told patients that acupuncture would aggravate the inflammation and edema of facial nerve in the acute stage of facial paralysis, and asked patients to stabilize their condition and then go for acupuncture again. In the different stages of facial paralysis, according to its pathologic characteristics, the acupoint formula, acupuncture techniques, electroacupuncture parameters and acupuncture time are used, and the treatment can be targeted, so early acupuncture has all the advantages and none of the disadvantages. In recent years, electrophysiological studies have also confirmed that in three groups of patients with facial paralysis lasting less than 10 days, 11-20 days, and more than 20 days, the rates of abnormalities in facial nerve motor conduction latency were 89.5%, 100%, and 100%, respectively, before treatment, and 15.8%, 57.1%, and 100%, respectively, after treatment. The shorter the course, the better the acupuncture efficacy, and the easier the electrophysiological indexes to return to normal. During the treatment period, patients should also pay attention to avoid the face of the wind and cold, cold weather out should wear a mask, scarf. Patients can massage the face several times a day, each massage until the local warmth. If the eyelid closure is incomplete, attention should be paid to the protection of the exposed cornea and conjunctiva, go out to wear eye masks or eyeglasses, a few times a day 0.25% chloramphenicol ophthalmic solution, before going to bed, coated with chlortetracycline or tetracycline ophthalmic ointment.